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1508362922 NPI number — CLAUDIA ANAGURTHI PH.D

NPI Number: 1508362922
Health Care Provider/Practitioner: CLAUDIA ANAGURTHI PH.D

Information about “1508362922” NPI (CLAUDIA ANAGURTHI PH.D) exists in 1508362922 in HTML format HTML  |  1508362922 in plain Text format TXT  |  1508362922 in PDF (Portable Document Format) PDF  |  1508362922 in an XML format XML  formats.

NPI Number : 1508362922 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508362922",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ANAGURTHI",
    "FirstName": "CLAUDIA",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "PH.D",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "UNIVERSITY PEDIATRICIANS",
    "SecondLineMailingAddress": "4201 ST. ANTIONE UHC 5D # 226",
    "MailingAddressCityName": "DETROIT",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48201",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "313-966-5051",
    "MailingAddressFaxNumber": "313-966-0665",
    "FirstLinePracticeLocationAddress": "CHM/SPECILTY CENTER",
    "SecondLinePracticeLocationAddress": "3950 BEAUBIEN GROUND FL",
    "PracticeLocationAddressCityName": "DETROIT",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48201",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "313-832-9620",
    "PracticeLocationAddressFaxNumber": "313-745-3012",
    "EnumerationDate": "04/04/2018",
    "LastUpdateDate": "06/16/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "103TC0700X",
          "TaxonomyName": "Clinical Psychologist",
          "LicenseNumber": "6301017088",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103T00000X",
          "TaxonomyName": "Psychologist",
          "LicenseNumber": "6301017088",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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